American Joint Replacement Registry 2015 Updates Webinar The Joint Commission July 8, 2015

Transcription

1 American Joint Replacement Registry 2015 Updates Webinar The Joint Commission July 8, 2015 Connect and learn more at 2

2 Welcome Welcome AJRR 2015 Updates Webinar and Preview of the Demand Reporting and Electronic Dashboard System AJRR Staff Phil Dwyer Program Coordinator, West Matt Timmers Program Coordinator, Southeast Kate Witherspoon Program Coordinator, Northeast The Joint Commission David Eickemeyer Associate Director, Certification Presentation approximately minutes 10 minutes Introduction to AJRR 10 minutes Introduction to dashboard system 10 minutes Next Steps for Participation Slides will be available after the Webinar 3

3 AJRR & TJC Collaborative Relationship The Joint Commission is pleased to continue to work with the American Joint Replacement Registry (AJRR) to support its multiple goals, especially the aim to establish a locus of information that can be used for quality improvement and to increase patient safety related to total hip and knee replacement surgery. The Joint Commission has served on AJRR's Public Advisory Board for a number of years and has appreciated the opportunity to be part of AJRR's efforts to increase the relevancy of the registry to patients and to providers. AJRR has exhibited a very thoughtful approach to ensuring that it builds a credible data collection infrastructure and to ensuring the usability of the registry to those focused on reducing morbidity and mortality. 4

4 AJRR Mission and Vision AJRR is a multi-stakeholder, independent, not-for-profit with diverse national constituents led by top orthopaedists We optimize patient outcomes through collection of data on all primary and revision total joint replacement procedures in the US Our mission is to enhance patient safety, improve quality of care, and reduce the cost of care Our goal is to capture 90% of all total joint replacement procedures in the U.S. 5

5 Support AJRR is supported by hospital participants, payers, health insurers, and the following groups: 6

6 AJRR Milestones 2010: Incorporated as a not-for-profit in Illinois Started pilot program with 15 hospitals 2011: Business plan finalized, startup funding secured Launched recruitment of all hospitals conducting THA/TKA 2012: Enhanced technology to expand registry software Enrolled 100th hospital 2013: Enrolled 200th hospital Launched pilot program of Level II and Level III platforms with 18 participating sites 2014: At the close of 2014, AJRR had 417 participants representing ALL 50 states! Over 125,000 procedures received Designated a Qualified Clinical Data Registry (QCDR) by CMS First Authorized User training given on Oct. 20 th First Annual Report completed that reflects 80,227 procedures 2015: 500 hospitals reached in May Over 250,000 procedures in Registry achieving end-of-year goal in April Formation of AJRR User Group Network Merger of California Joint Replacement Registry (CJRR) into AJRR 7

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8 AJRR Progress Number of Hospitals Jan April July Oct Jan April July Oct Jan April July Oct Jan April June Total # of hospitals* Total # of agreements* N=24,971 procedures from 63 hospitals N= 43,823 procedures from 123 hospitals 2014 N= 211,721 procedures from 252 hospitals

9 Where Were We in 2012? Where Were We in 2012 August

10 Where Are We Now? National Registry in All 50 States September

11 Participating Institution Types Hospitals Academic Medical Centers Multiple Health Systems/Networks Ambulatory Surgery Centers Private Practice Groups Solo Practitioners Hospital bed count Small = 1-99 beds Medium = beds Large = 400+ beds Small (21%) Teaching 25% Univ/ Research 11% Rural 9% Large (28%) Community 55% Medium (50%) 12

12 AJRR Data Elements LEVEL I Patient Name (Last, First) Date of Birth Social Security Number Diagnosis (ICD-9/10) Gender Ethnicity Hospital Name and Address Surgeon Name (National Provider Identifier) Procedure Type (ICD-9/10) Date of Surgery Laterality Implants LEVEL II Pre-Operative Assessment Patient Risk Factors/Co-morbidities (ICD-9/10) Prophylaxis Length of Stay American Society of Anesthesiologists Score Operative and Post-operative Complications LEVEL III SF-36 v1 HOOS and KOOS WOMAC (Modified via HOOS and KOOS) Oxford Hip and Knee Scores Knee Society Knee Scoring System Harris Hip Score SF-12, EQ-5D, WOMAC (only accepting final scores) Will be adding PROMIS and VR-12 LEVEL IV Radiographic Images 13

13 AJRR Data Submission Methods 98% of Participants submit a data file upload to AJRR AJRR IT staff works with hospital s IT team to ensure seamless data transmission Report generation and upload to AJRR SFTP site can be automated AJRR process is secure and HIPAA compliant Level I reporting tested with EMR vendors including Epic, Cerner, Ortech, InVivoLink, MedTrak, URS Oberd, and more Certain vendors have created custom report templates for AJRR data submission 14

14 AJRR Value Compare your institution against national benchmarks Access to on-demand hospital specific quality reports and dashboards Track and monitor outcomes Reduce complications and revision rates Increased transparency Participate in the AJRR User Group Network Strict data security HIPAA compliant Surveillance alerts Support of quality initiatives (PQRS & MOC) Patient privacy 15

15 Gain exposure on U.S. News and World Report s Health website as a participating site in their Best Hospitals program 16

16 Training Demonstration AJRR is pleased to announce the launch of the Demand Reporting and Electronic Dashboard System 17

17 Fee Structure Single Institution (1-year) Participation Subscription $0 $2,850 1x Configuration $750 Providing Level I data to the Registry is free Subscription fee includes Access to the AJRR Demand Reporting and Electronic Dashboard System Level II and III data submission Discounts available Multiple-year agreements Multiple institutions Please contact your Program Coordinator for the complete participation fee structure 18

18 The AJRR Process Attend Webinar Understand your EMR Environment Consult with AJRR rep Understand Expectations Contract review Data Use Agreement Participation Agreement Connect Participate Access Integrate & Submit Receive dashboard training Access dashboard and reports Ongoing customer service, IT support Community building Review data fields Assign Authorized User(s) Test data Integrate with your EMR environment Submit data 19

19 What s on the Horizon What s on the Horizon User Group opportunities and community network building The Register quarterly e-newsletter Connect with Champions Learn from each other Social Media connect with us! Linkedin/americanjointreplacementregistry Contact Terra Miller at miller@ajrr.net or

20 AJRR as a QCDR PQRS Reporting AJRR & CECity are conducting a PQRS 101 webinar on July 28, 2015 that will go over the fine points of the Orthopaedic Quality Resource Center 21

21 Risk Calculator To access the tool: please visit and click AJRR Risk Calculator on the left hand side 22

22 AJRR and Joint Commission Contacts To learn more about participation in the Registry, please contact the AJRR Program Coordinators via the contact information listed on the following slide. To learn more about Joint Commission Certification programs or how to submit your application, please contact the Joint Commission team at (630) or 23

23 AJRR Program Coordinators Kate Witherspoon, MPA (847) Matt Timmers (847) Phil Dwyer (847)